KEELE WILSON (NPI# 1356968929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356968929 |
| Entity Type | Individual |
| Full Name | KEELE WILSON |
| Practice Address |
650 Church St Ste 215 Plymouth MI 48170-1689 |
| Mailing Address |
4125 Knightsbridge Ln Jackson MI 49201-7115 |
| Practice Telephone | 8332224273 |
| Mailing Telephone | 5172627716 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
650 CHURCH ST STE 215 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164949160 | Qiana Eberly | Behavior Technician | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2017-08-29 |
| 1538772389 | Hannah Butzin | Behavior Technician | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2020-08-30 |
| 1730728254 | Heather Norton | Behavioral Analyst | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2020-01-01 |
| 1184261554 | Kandace Ranae' Williams | Behavior Technician | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2019-12-04 |
| 1386298099 | Kelsey Deilus | Speech-Language Pathologist | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2019-07-31 |
| 1841844008 | Allison Grathoff | Behavior Technician | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2019-07-26 |
| 1245897461 | Tina S Luna | Behavioral Analyst | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2019-05-22 |
| 1528625084 | Carly Scouten | Behavioral Analyst | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2019-05-21 |
| 1417512583 | Latoia Souder | Behavior Technician | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2019-05-04 |
| 1497218150 | Brenda L Manthei | Behavior Technician | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480102 | Kelly Romano | Behavior Technician | 15 Dickson Dr, Plymouth, MA 02360-6832 | 2020-09-02 |
| 1740808484 | Dennis Fox | Behavior Technician | 19 Jamies Path, Plymouth, MA 02360-4980 | 2020-07-09 |
| 1700435856 | Leeann Winner | Behavior Technician | 650 Church St Ste 216, Plymouth, MI 48170-1689 | 2019-09-10 |
| 1730654682 | Leah Liakos | Behavior Technician | 650 Church St # 215, Plymouth, MI 48170-1689 | 2018-10-08 |
| 1659846517 | Reed Holden | Behavior Technician | 650 Church St Unit 215, Plymouth, MI 48170-1689 | 2018-10-08 |
| 1659860567 | Taishawn Miller | Behavior Technician | 13225 58th Ave N Apt E, Plymouth, MN 55442-1685 | 2018-05-07 |
| 1730608597 | Cristin M Ramage | Behavior Technician | 44 Industrial Park Rd, Plymouth, MA 02360-4829 | 2017-09-13 |
| 1164949160 | Qiana Eberly | Behavior Technician | 650 Church St Ste 215, Plymouth, MI 48170-1689 | 2017-08-29 |
| 1093316937 | Cailin Murphy | Behavior Technician | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2020-11-06 |
| 1891396602 | Allison Munguia | Behavior Technician | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2020-11-06 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.